helmholtzeyeinstituteРоссийский офтальмологический журналRussian Ophthalmological Journal2072-00762587-5760Real time Publishers10.21516/2072-0076-2024-17-1-149-155helmholtzeyeinstitute-1444Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWSПилинг внутренней пограничной мембраны при витреоретинальной хирургии регматогенной отслойки сетчатки: клинические результаты, альтернативы и перспективыInternal limiting membrane peeling in vitreoretinal surgery for rhegmatogenous retinal detachment: clinical results, surgical options, and future prospectshttps://orcid.org/0000-0002-4341-3572ФайзрахмановР. Р.FayzrakhmanovR. R.

Ринат Рустамович Файзрахманов — д-р мед. наук, профессор кафедры, заведующий кафедрой глазных болезней, ИУВ ФГБУ «Национальный медико-хирургический центр им. Н.И. Пирогова» Минздрава России; заведующий Центром офтальмологии, ФГБУ «Национальный медико-хирургический центр им. Н.И. Пирогова» Минздрава России

ул. Нижняя Первомайская, д. 65, Москва, 105203

ул. Нижняя Первомайская, д. 70, Москва, 105203

Rinat R. Fayzrakhmanov — Dr. of Med. Sci., professor, head of chair of eye diseases, N.I. Pirogov National Medical and Surgical Center, Institute of Continuous Medical Education; head of center of ophthalmology, National N.I. Pirogov Medical and Surgical Center

65, Nizhnyaya Pervomayskaya St.,Moscow, 105203

70, Nizhnyaya Pervomaiskaya St., Moscow, 105203

ШишкинМ. М.ShishkinM. M.

Михаил Михайлович Шишкин — д-р мед. наук, профессор, профессор кафедры глазных болезней,  ИУВ ФГБУ «Национальный медико-хирургический центр им. Н.И. Пирогова» Минздрава России; главный офтальмолог Центра офтальмологии, ФГБУ «Национальный медико-хирургический центр им. Н.И. Пирогова» Минздрава России

ул. Нижняя Первомайская, д. 65, Москва, 105203

ул. Нижняя Первомайская, д. 70, Москва, 105203

Michail M. Shishkin — Dr. of Med. Sci., professor, professor of chair of eye diseases, N.I. Pirogov National Medical and Surgical Center, Institute of Continuous Medical Education; principal ophthalmologist of Center of Ophthalmology, National N.I. Pirogov Medical and Surgical Center

65, Nizhnyaya Pervomayskaya St.,Moscow, 105203

70, Nizhnyaya Pervomaiskaya St., Moscow, 105203

https://orcid.org/0000-0003-2234-0914КлевВ. С.KlevV. S.

Валерия Сергеевна Клев — врач-офтальмолог Центра офтальмологии

ул. Нижняя Первомайская, д. 70, Москва, 105203

Valeriya S. Klev — ophthalmologist of the center of ophthalmology

70, Nizhnyaya Pervomaiskaya St., Moscow, 105203

klevvs@yandex.ruСехинаО. Л.SekhinaO. L.

Ольга Леонидовна Сехина — аспирант кафедры глазных болезней

ул. Нижняя Первомайская, д. 65, Москва, 105203

Olga L. Sekhina — PhD of chair of eye diseases of the Institute for advanced training of doctors

65, Nizhnyaya Pervomayskaya St.,Moscow, 105203

ВагановаЕ. Е.VaganovaE. E.

Елена Евгеньевна Ваганова — аспирант кафедры глазных болезней

ул. Нижняя Первомайская, д. 65, Москва, 105203

Elena E. Vaganova — postgraduate student of chair of eye diseases of the Institute for advanced training of doctors

65, Nizhnyaya Pervomayskaya St.,Moscow, 105203

МамадалиевД. М.MamadalievD. M.

Дильшот Махмутович Мамадалиев — канд. мед. наук, хирург

ул. Нижняя Первомайская, д. 70, Москва, 105203

Dilshot M. Mamadaliev — Cand. of Med. Sci., surgion

70, Nizhnyaya Pervomaiskaya St., Moscow, 105203

ИУВ ФГБУ «Национальный медико-хирургический центр им. Н.И. Пирогова» Минздрава России; ФГБУ «Национальный медико-хирургический центр им. Н.И. Пирогова» Минздрава РоссииРоссияN.I. Pirogov National Medical and Surgical Center, Institute of Continuous Medical Education; National N.I. Pirogov Medical and Surgical CenterRussian FederationФГБУ «Национальный медико-хирургический центр им. Н.И. Пирогова» Минздрава РоссииРоссияNational N.I. Pirogov Medical and Surgical CenterRussian FederationИУВ ФГБУ «Национальный медико-хирургический центр им. Н.И. Пирогова» Минздрава РоссииРоссияN.I. Pirogov National Medical and Surgical Center, Institute of Continuous Medical EducationRussian Federation202426032024171149155Copyright © Файзрахманов Р.Р., Шишкин М.М., Клев В.С., Сехина О.Л., Ваганова Е.Е., Мамадалиев Д.М., 20242024Файзрахманов Р.Р., Шишкин М.М., Клев В.С., Сехина О.Л., Ваганова Е.Е., Мамадалиев Д.М.Fayzrakhmanov R.R., Shishkin M.M., Klev V.S., Sekhina O.L., Vaganova E.E., Mamadaliev D.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://roj.igb.ru/jour/article/view/1444

В структуре первичной инвалидности по зрению регматогенная отслойка сетчатки (РОС) занимает одно из лидирующих мест. При этом большинство пациентов с РОС — люди трудоспособного возраста. В последние 50 лет хирургия отслойки сетчатки переживает бурное развитие, успешность хирургии РОС достигает 90% и выше. Однако снижение рисков реопераций, улучшение функциональных исходов и послеоперационной остроты зрения остаются актуальными вопросами. Основной причиной повторных оперативных вмешательств является прогрессирование пролиферативной ретинопатии, что может приводить к формированию эпиретинального фиброза, макулярного отека, а также к рецидививу отслойки сетчатки. В обзоре представлены современные исследования, посвященные пилингу внутренней пограничной мембраны при хирургии РОС, и результаты применения альтернативных методик, направленных на снижение рисков возникновения указанных выше послеоперационных осложнений.

Rhegmatogenous retinal detachment (RRD) is one of the leading causes of primary vision disability, while the majority of RRD patients with RRD are people of active working age. Over the past 50 years, retinal detachment surgery has been progressing rapidly, the rate of success increasing up to 90% or higher. However, the reduction of reoperation risks of reoperations, improvement of functional outcomes and increase of postoperative visual acuity remain topical issues. The main reason for repeated surgical interventions is the proliferative vitreoretinopathy progression, which can lead to epiretinal fibrosis, macular oedema, or retinal detachment recurrence. The review is focused on current literature studies that report the results of internal limiting membrane peeling in cases of RRD surgeries and other optional techniques aimed at reducing the risk of the above mentioned postoperative complications.

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The authors declare that there are no conflicts of interest present.